2.7CLJun 13, 2025
Predicting Early-Onset Colorectal Cancer with Large Language ModelsWilson Lau, Youngwon Kim, Sravanthi Parasa et al.
The incidence rate of early-onset colorectal cancer (EoCRC, age < 45) has increased every year, but this population is younger than the recommended age established by national guidelines for cancer screening. In this paper, we applied 10 different machine learning models to predict EoCRC, and compared their performance with advanced large language models (LLM), using patient conditions, lab results, and observations within 6 months of patient journey prior to the CRC diagnoses. We retrospectively identified 1,953 CRC patients from multiple health systems across the United States. The results demonstrated that the fine-tuned LLM achieved an average of 73% sensitivity and 91% specificity.
Automatic Assignment of Radiology Examination Protocols Using Pre-trained Language Models with Knowledge DistillationWilson Lau, Laura Aaltonen, Martin Gunn et al.
Selecting radiology examination protocol is a repetitive, and time-consuming process. In this paper, we present a deep learning approach to automatically assign protocols to computer tomography examinations, by pre-training a domain-specific BERT model ($BERT_{rad}$). To handle the high data imbalance across exam protocols, we used a knowledge distillation approach that up-sampled the minority classes through data augmentation. We compared classification performance of the described approach with the statistical n-gram models using Support Vector Machine (SVM), Gradient Boosting Machine (GBM), and Random Forest (RF) classifiers, as well as the Google's $BERT_{base}$ model. SVM, GBM and RF achieved macro-averaged F1 scores of 0.45, 0.45, and 0.6 while $BERT_{base}$ and $BERT_{rad}$ achieved 0.61 and 0.63. Knowledge distillation improved overall performance on the minority classes, achieving a F1 score of 0.66.
57.6IRJul 9, 2019
UW-BHI at MEDIQA 2019: An Analysis of Representation Methods for Medical Natural Language InferenceWilliam R. Kearns, Wilson Lau, Jason A. Thomas
Recent advances in distributed language modeling have led to large performance increases on a variety of natural language processing (NLP) tasks. However, it is not well understood how these methods may be augmented by knowledge-based approaches. This paper compares the performance and internal representation of an Enhanced Sequential Inference Model (ESIM) between three experimental conditions based on the representation method: Bidirectional Encoder Representations from Transformers (BERT), Embeddings of Semantic Predications (ESP), or Cui2Vec. The methods were evaluated on the Medical Natural Language Inference (MedNLI) subtask of the MEDIQA 2019 shared task. This task relied heavily on semantic understanding and thus served as a suitable evaluation set for the comparison of these representation methods.